Smartphone-Delivered Attentional Bias Modification Training for Mental Health: Systematic Review and Meta-Analysis.

IF 5.4 3区材料科学 Q2 CHEMISTRY, PHYSICAL ACS Applied Energy Materials Pub Date : 2024-09-02 DOI:10.2196/56326

Bilikis Banire, Matt Orr, Hailey Burns, Youna McGowan, Rita Orji, Sandra Meier

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Abstract

Background: Smartphone-delivered attentional bias modification training (ABMT) intervention has gained popularity as a remote solution for alleviating symptoms of mental health problems. However, the existing literature presents mixed results indicating both significant and insignificant effects of smartphone-delivered interventions.

Objective: This systematic review and meta-analysis aims to assess the impact of smartphone-delivered ABMT on attentional bias and symptoms of mental health problems. Specifically, we examined different design approaches and methods of administration, focusing on common mental health issues, such as anxiety and depression, and design elements, including gamification and stimulus types.

Methods: Our search spanned from 2014 to 2023 and encompassed 4 major databases: MEDLINE, PsycINFO, PubMed, and Scopus. Study selection, data extraction, and critical appraisal were performed independently by 3 authors using the PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses) guidelines. When necessary, we pooled the standardized mean difference with a 95% CI. In addition, we conducted sensitivity, subgroup, and meta-regression analyses to explore moderator variables of active and placebo ABMT interventions on reducing symptoms of mental health problems and attentional bias.

Results: Our review included 12 papers, involving a total of 24,503 participants, and we were able to conduct a meta-analysis on 20 different study samples from 11 papers. Active ABMT exhibited an effect size (Hedges g) of -0.18 (P=.03) in reducing symptoms of mental health problems, while the overall effect remained significant. Similarly, placebo ABMT showed an effect size of -0.38 (P=.008) in reducing symptoms of mental health problems. In addition, active ABMT (Hedges g -0.17; P=.004) had significant effects on reducing attentional bias, while placebo ABMT did not significantly alter attentional bias (Hedges g -0.04; P=.66).

Conclusions: Our understanding of smartphone-delivered ABMT's potential highlights the value of both active and placebo interventions in mental health care. The insights from the moderator analysis also showed that tailoring smartphone-delivered ABMT interventions to specific threat stimuli and considering exposure duration are crucial for optimizing their efficacy. This research underscores the need for personalized approaches in ABMT to effectively reduce attentional bias and symptoms of mental health problems.

Trial registration: PROSPERO CRD42023460749; https://www.crd.york.ac.uk/prospero/display_record.php?RecordID=460749.

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针对心理健康的智能手机注意力偏差修正训练：系统回顾与元分析》。

背景：由智能手机提供的注意力偏差修正训练（ABMT）干预作为一种缓解心理健康问题症状的远程解决方案，受到了广泛欢迎。然而，现有文献显示的结果不一，智能手机提供的干预效果既有显著的，也有不显著的：本系统综述和荟萃分析旨在评估智能手机提供的 ABMT 对注意力偏差和心理健康问题症状的影响。具体来说，我们研究了不同的设计方法和管理方法，重点关注常见的心理健康问题，如焦虑和抑郁，以及设计元素，包括游戏化和刺激类型：我们的搜索时间跨度为 2014 年至 2023 年，涵盖 4 个主要数据库：方法：我们的搜索时间跨度为 2014 年至 2023 年，涵盖 4 个主要数据库：MEDLINE、PsycINFO、PubMed 和 Scopus。研究选择、数据提取和关键评估由 3 位作者根据 PRISMA（系统综述和元分析首选报告项目）指南独立完成。必要时，我们将标准化均值差异与 95% CI 汇总。此外，我们还进行了敏感性分析、亚组分析和元回归分析，以探讨活性和安慰剂ABMT干预对减少心理健康问题症状和注意偏差的调节变量：我们的综述包括 12 篇论文，共有 24,503 人参与，并对 11 篇论文中的 20 个不同研究样本进行了荟萃分析。活性 ABMT 在减少心理健康问题症状方面的效应大小（Hedges g）为-0.18（P=.03），而总体效应仍然显著。同样，安慰剂 ABMT 在减少精神健康问题症状方面的效应大小为-0.38（P=.008）。此外，积极的ABMT（赫奇斯g-0.17；P=.004）对减少注意力偏差有显著效果，而安慰剂ABMT对注意力偏差没有显著改变（赫奇斯g-0.04；P=.66）：我们对智能手机提供的 ABMT 的潜力的认识突出了积极干预和安慰剂干预在心理保健中的价值。主持人分析的见解还表明，针对特定的威胁刺激调整智能手机提供的 ABMT 干预措施并考虑暴露持续时间对于优化其疗效至关重要。这项研究强调了在 ABMT 中采用个性化方法的必要性，以有效减少注意力偏差和心理健康问题症状：ProCORD42023460749; https://www.crd.york.ac.uk/prospero/display_record.php?RecordID=460749.

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来源期刊

ACS Applied Energy Materials Materials Science-Materials Chemistry

CiteScore

10.30

自引率

6.20%

发文量

1368

期刊介绍： ACS Applied Energy Materials is an interdisciplinary journal publishing original research covering all aspects of materials, engineering, chemistry, physics and biology relevant to energy conversion and storage. The journal is devoted to reports of new and original experimental and theoretical research of an applied nature that integrate knowledge in the areas of materials, engineering, physics, bioscience, and chemistry into important energy applications.